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ICD-10 Guide
ICD-10 CodesE09.3292

E09.3292

Billable

Drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema (left eye)

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 E09.3292 is a billable code used to indicate a diagnosis of drug or chemical induced diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema (left eye).

Key Diagnostic Point:

E09.3292 refers to diabetes mellitus that is induced by drugs or chemicals, specifically characterized by mild nonproliferative diabetic retinopathy in the left eye without macular edema. This condition arises when certain medications or substances disrupt normal glucose metabolism, leading to hyperglycemia and subsequent diabetic complications. Nonproliferative diabetic retinopathy is an early stage of diabetic eye disease where small blood vessels in the retina become damaged, but there is no significant swelling or leakage of fluid into the macula. Management of this condition often involves monitoring blood glucose levels, maintaining HbA1c levels below 7%, and addressing any ocular complications. Insulin therapy may be necessary depending on the severity of the diabetes and the patient's response to other treatments. Regular eye examinations are crucial for early detection and management of retinopathy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of drug-induced diabetes mechanisms
  • Differentiation between types of diabetic retinopathy
  • Understanding of ocular complications related to diabetes
  • Need for precise documentation of retinopathy severity

Audit Risk Factors

  • Inadequate documentation of drug-induced nature
  • Failure to specify the eye affected
  • Misclassification of retinopathy severity
  • Lack of supporting clinical evidence for diabetes management

Specialty Focus

Medical Specialties

Endocrinology

Documentation Requirements

Detailed medication history, HbA1c levels, and management plans.

Common Clinical Scenarios

Patients presenting with new-onset diabetes due to medication, requiring insulin therapy.

Billing Considerations

Ensure accurate documentation of the drug responsible for diabetes and its management.

Ophthalmology

Documentation Requirements

Comprehensive eye exam findings, including retinal imaging and assessment of retinopathy.

Common Clinical Scenarios

Patients with diabetes presenting for routine eye exams or with visual complaints.

Billing Considerations

Document the specific type and severity of retinopathy and any treatment provided.

Coding Guidelines

Inclusion Criteria

Use E09.3292 When
  • Follow the ICD
  • CM guidelines for coding diabetes, ensuring that the cause (drug or chemical) and complications (retinopathy) are accurately documented
  • Include any relevant laboratory results, such as HbA1c levels, to support the diagnosis

Exclusion Criteria

Do NOT use E09.3292 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

92014CPT Code

Ophthalmological examination, comprehensive, established patient

Clinical Scenario

Used during routine eye exams for diabetic patients.

Documentation Requirements

Document visual acuity, retinal findings, and any treatment plans.

Specialty Considerations

Ophthalmologists should ensure detailed documentation of retinopathy findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of diabetes types and complications, improving the accuracy of diabetes-related diagnoses and treatment plans. E09.3292 provides a clear framework for identifying drug-induced diabetes and its ocular complications.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of diabetes types and complications, improving the accuracy of diabetes-related diagnoses and treatment plans. E09.3292 provides a clear framework for identifying drug-induced diabetes and its ocular complications.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of diabetes types and complications, improving the accuracy of diabetes-related diagnoses and treatment plans. E09.3292 provides a clear framework for identifying drug-induced diabetes and its ocular complications.

Resources

Clinical References

  • •
    American Diabetes Association
  • •
    American Academy of Ophthalmology

Coding & Billing References

  • •
    American Diabetes Association
  • •
    American Academy of Ophthalmology

Frequently Asked Questions

What medications can cause drug-induced diabetes?

Common medications that can induce diabetes include corticosteroids, certain antipsychotics, and some diuretics. It is important to review the patient's medication history to identify potential causes.

How is diabetic retinopathy diagnosed?

Diabetic retinopathy is diagnosed through a comprehensive eye examination, including retinal imaging and assessment of visual acuity. Early detection is crucial for effective management.